Healthcare Provider Details

I. General information

NPI: 1144148214
Provider Name (Legal Business Name): ALAN KNOX CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5707 REDWOOD RD STE 7
OAKLAND CA
94619-2400
US

IV. Provider business mailing address

710 E 22ND ST APT 304
OAKLAND CA
94606-2004
US

V. Phone/Fax

Practice location:
  • Phone: 530-574-7475
  • Fax:
Mailing address:
  • Phone: 530-574-7475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number99867
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: